ࡱ>   Dbjbj]W]W 4?=?= <     |F8^^^^^999F!F!F!F!F!F!F$GJEF 99EF  ^^ZF ^ ^FFn69^ lx"7 FpF0F7:K:K@9:K 9D 9h3TH999EFEF999F:K999999999 : WEST VIRGINIA BOARD OF OSTEOPATHIC MEDICINE Board Meeting Minutes September 17, 2015 The West Virginia Board of Osteopathic Medicine met on Thursday, September 17, 2015, in Stratford Board Room at The Blennerhassett Hotel, Parkersburg, West Virginia. Two new Board Members were introduced and welcomed; Sharon Rowe, Citizen Member and Jimmy Adams, D.O., Physician Member. President, Ernest Miller, D.O. called the business meeting to order at 10:05 AM. Members Present: Staff Members Present: Ernest Miller, Jr., D.O. President Jennifer Akers, Esq. Board Counsel Arthur Rubin, D.O. - Secretary Diana Shepard, CMBE Executive Director Robert Whitler, Vice President/Citizen Member Michael Muscari, D.O. Physician Member Attendees: Jimmy Adams, D.O. Physician Member Michael Goff, CSMP Administrator Heather Jones, PA-C - Physician Assistant Member Lonnie Sipsy, D.O. Sharon Rowe - Citizen Member Joel Smithers, D.O. Tom Smith, Esquire Minutes: The minutes of the June 4, 2015 Board meeting were approved as presented. (Whitler/Muscari) Michael Goff, Administrator of the Controlled Substance Monitoring Program, provided the educational session for the September meeting. He summarized the work of the CSMP along with the Advisory Committee and Review Committees. The committee members were appointed by the West Virginia Board of Pharmacy as required in SB437 which was passed by the WV Legislature in 2012. The Board requested confirmation that an Osteopathic replacement for C. Clark Milton, D.O. would be made to the Advisory Committee following Dr. Miltons resignation. Reports: Licensed Physicians as of September 3, 2015: 1206 Total Physicians: 925 - In state 281 - Out of state 43 Newly Licensed Physicians Since Last Meeting 63 1st Year Educational Permits (from 7/1/15 thru 6/30/16): 0 - PGY 1 at Access Health 6 PGY 1 at Bluefield Regional 6 PGY 1 at Camden Clark 18 PGY 1 at CAMC 5 PGY 1 at Greenbrier Valley 8 - PGY 1 at Marshall University (Cabell/Huntington) 2 - PGY 1 from Marietta Memorial 1 - PGY 1 from Millcreek Community Hospital 3 - PGY 1 at Mon General/Cornerstone 9 PGY 1 at Ohio Valley Medical Center 2 PGY 1 at United Hospital Center 2 PGY 1 at WVU -2- 90 Educational Permit Renewals (from 7/1/15 thru 6/30/16): 2 - Access Health 18 Bluefield Regional 8 Camden Clark 27 CAMC 3 Greenbrier Valley 8 Marshall University (Cabell/Huntington) 1 - Marietta Memorial Hospital 2 Mon General 13 - Ohio Valley Medical Center 3 - United Hospital Center 5 - WVU 216 Physician Assistants 166 - Prescriptive Writing Privileges 28 - DOs supervise 2 PAs 16 - DOs supervise 3 PAs 2 - DOs supervise 4 PAs 1 - DOs supervise 5+ PAs 60 Corporations 77 PLLCs Balance in State Depository Account as of 7/31/2015: $510,457.10 Beginning Balance as of 07/01/15: $480,290.11 Total Receipts as of 7/31/2015: $50,618.75 Total Disbursements as of 7/31/2015: $20,451.76 Fines Deposited in State Treasury as of 7/31/2015: -0- Purchasing Card Report Purchases for May through July 2015 Monthly Line Item Statements May through July 2015 The Board may consider a revision to the internal policy regarding the Purchasing Card to document a clearer delineation of access and responsibility for the Boards one credit card. Currently the Executive Director is both the Card Holder and the Card Coordinator. May need to appoint the Administrative Assistant as the Coordinator for the credit card for online payment of bills through WV OASIS billing system. Financial reports were approved as presented. (Rubin/Muscari) OLD BUSINESS: Monthly/Quarterly Practitioner Reports: Bruce Gorby, D.O. WVMPHP reports Dr. Gorby has remained in compliance. Michael Richmond, D.O. WVMPHP reports Dr. Richmond remains in full compliance with his CRCA. He has also received his DEA back for prescribing of controlled substances. Terry Thomas, D.O. WVMPHP reports full compliance with last quarterly reporting period. Bi-Annual Statistical Report was provided by WVMPHP. -3- NEW BUSINESS: Executive Director Report: 1) Interstate Medical Licensing Compact: The first meeting of the Interstate Medical Licensing Compact is scheduled for October 27 and 28, 2015 in Chicago, Illinois. The Governors Office has delineated the responsibility of appointing the Commissioners representing West Virginia on the Commission to the two State Licensing Board. Motion was made and unanimously passed to appoint Diana Shepard, Executive Director, as the Commissioner to represent the West Virginia Board of Osteopathic Medicine on the IMLC Commission. (Rubin/Whitler) 2) FSMB Attorney Workshop: The 2015 Attorney Workshop, sponsored by the Federation of State Medical Boards will be held in Las Vegas, Nevada on November 12-13, 2015. Motion was made and unanimously passed to provide travel and hotel funds to Board Counsel, Jennifer Akers, to attend. (Rubin/Rowe) 3) Tri-Regulator Symposium: Dr. Rubin, Secretary of the Board, was planning to attend the Tri-Regulator Symposium in Arlington, Virginia. However, his schedule was changed cancelling his trip to Arlington. 4) Supreme Court Case No. 15-0131: The West Virginia Board of Nursing had its second case presented to the West Virginia Supreme Court earlier this month. This issue dealt, primarily, with the Boards non-compliance with W.Va. Code 30-1-5(c) which requires a certified letter be sent to the complainant within six months of the complaint filing to provide an update on the status of the complaint. The Courts decision for the RN Board case has not yet been given. However, with Complaint 2013-16, the WV Board of Osteopathic Medicine may be facing the same issue. While regular communication was exchanged with the complainant via telephone and letters, a certified letter at six months was not sent while attempts at setting a hearing were unsuccessful with the physician and his counsel. Legal Counsel and the Executive Director have worked on procedural and computer changes to provide six month alerts on all complaint cases. 5) PA Formulary Review: The current formulary was presented for review. Most state medical licensing boards have eliminated the use of a drug formulary as it quickly becomes outdated with new drugs and schedule changes. Motion was made to eliminate the current drug formulary and replace it by stipulating what class of drugs and dosages can be prescribed by Physician Assistants within their application for licensure and their Practice Agreements. (Jones/Rubin) 6) WVU Request Regarding DEA Requirement for Physician Assistants: A request for interpretation of 24 CSR 02.11.7 was received from WVU. If a Physician Assistant is not going to prescribe Schedule III through V controlled substances, must they obtain a DEA? Historically, the Board has required a DEA not knowing whether the PA would be prescribing controlled substances. Re-interpretation of 24 CSR 02.11.7 was made for the requirement of a DEA to be determined by the application process and asking whether or not the supervising physician wants the PA to prescribe controlled substances. (Jones/Rubin) 7) 3 Hour CME Requirement Within First Year of Licensing: SB437 required all newly licensed healthcare practitioners to complete the 3 hour Pain Prescribing CME requirement within the first year of licensing. An audit was conducted revealing 29 Physician Assistants and 12 Osteopathic Physicians who had not done so within the first year. A letter was mailed to all non-compliance licensees and, as of this meeting all have met those requirements. Motion was made at 12:00 PM to recess for lunch. (Adams/Muscari) President Miller re-convened the meeting at 1:35 PM. -4- 8) Request for Use of Vyvanse in Treating Binge Eating Disorder: The Board was approached by Shire Pharmaceutical Company after the deadline for filing legislative rule changes for the 2016 Legislative Session. Shire was requesting a change to 24 CSR 01-18.1.dd to allow the use of Vyvanse in the treatment of Binge Eating Disorder. This issue will be tabled until the November meeting to allow further study and review. In the meantime, the Board goes on record to not discipline any physician who uses Vyvanse, as directed, and with clear documentation of patient progress without complications. 9) Telemedicine Guidelines: A proposed set of guidelines for the practice of osteopathic telemedicine was tabled from the last meeting. It is presented for approval as an internal policy for the practice of osteopathic telemedicine until we can get the telemedicine bill, which was killed in committee this year, re-submitted for 2016. Motion to approve was made and unanimously passed. (Rubin/Whitler) 10) Board Office Phone System: The Executive Director requested permission to begin looking at new phone systems for the Board Office. The Board requested quotes be presented at the next meeting for a phone system with conferencing and intercom capabilities for all four staff members in the office. 11) Security for Board Office: The Executive Director reported a couple of instances within the last six months in which building security was placed on standby when particular visitors were expected in the Board Office. Staff has no rear exit within the office should they be threatened in any way. Request for study and review of ways to provide more security within the Board Office. The Board granted permission to investigate adequate security measures. Licensing Issues: MedExpress presented several new dispensing sites for multiple osteopathic MedExpress licensees for Board approval. The Executive Director questioned why this procedure is required. It was determined that when controlled substances were being dispensed from those facilities the Board needed to be aware of those sites. Now that controlled substances can no longer be dispensed without a prescription, this has become a moot issue and no longer needs to be reported to the Board. First Licensed Eight years after the first pilot programs for collaborative pharmacy practices, Collaborative the Board has licensed its first collaborative. The license will be for a two Pharmacy Practice: year period and then will the pharmacist will apply for renewal. Onsite Physician Four unannounced inspections were conducted by one of the Boards contract Assistant Inspections: investigators on four Physician Assistants whose licenses were up for renewal in 2015. Included in that review were two PAs under the supervision of David Tolliver, D.O., one with Claudia Duncan, D.O. and one with John Short, D.O. All appeared to be practicing within their scope of practice with the exception on one Physician Assistant who has a current open complaint and will be discussed in Executive Session. The Board moved into Executive Session at 2:35 PM with the Executive Director, Board Counsel and Licensure analyst present. (Rubin/Whitler) Motion was made to move back into Public Session at 3:35 PM. (Muscari/Whitler) -5- Report From the Complaint Committee: Cases Reviewed By Complaint Committee on August 10, 2015: Reviewed: 2006-39; 2015-08; 2014-16; 2015-09; 2015-27; 2011-19; 2015-18; 2015-22; 2014-19; 2015-21; 2015-30; 2015-11; 2015-15; 2015-28; 2015-12; 2015-13; 2015-14; 2015-32; 2015-24; 2015-26; 2015-19; 2015-29; 2014-14; 2015-25; 2015-31. Recommended for Dismissal: 2015-08; 2015-27; 2011-19; 2015-22; 2014-19; 2015-28; 2015-32; 2015-24; 2015-25 Recommended Probable Cause: 2015-26; 2015-29 and 2014-14 Recommended Consent Orders: 2006-39; 2015-18 and 2015-19 Recommended New Complaints: 1) Physicians Hospital Privileges Suspended for Erratic Behavior 2) Physician Allowed PA to Practice Without a WV License 3) Physician Owned and Operated Two Pain Management Clinics That Were Closed by OHFLAC Following the report of the Complaint Committee, the following actions were taken by the Board: A) Complaints for Dismissal: 2015-08; 2015-27; 2011-19; 2015-22; 2014-19; 2015-28; 2015-32; 2015-24; 2015-25; 2015-07 (Whitler/Rowe) B) Dismissal Due to Lack of Jurisdiction and Forward to Pennsylvania Board: 2015-36 (Whitler/Rowe) C) Dismissal With Letter of Concern: 2015-30 (Whitler/Rowe) D) Complaint With Probable Cause Hearing: 2015-29 (Whitler/Rowe) E) Complaint With Probable Cause Hearing Intent for Revocation: 2015-26 (Whitler/Rowe) F) Complaints with Summary Suspension: 2014-14 (Whitler/Rowe) G) Consent Orders: 2006-39; 2015-18; 2015-19 (Whitler/Adams) H) New Complaints: 2015-43; 2015-44; 2015-45 (Whitler/Jones) Malpractice Reports: Seven (7) malpractice reports were received since the last board meeting. They were individually reviewed with no further action required. Lonnie K. Sipsy, D.O.: Dr. Sipsys recommendation for re-instatement from the June 4, 2015 meeting was revised to re-instatement of full license without a Consent Order. (Whitler/Jones) Satyanarayana Raju D.O.: Applicant did not appear before the Board for review of his licensure application. No action taken on incomplete application. Richard Blackburn, D.O.: Hearing on Complaint 2014-22 has been set to begin October 13, 2015. John Pellegrini, D.O.: The Executive Director updated the Board on the status of Civil Action Cases involving the Board , HOPE Clinic and Dr. Pellegrini. -6- Roland Chalifoux, Jr., D.O.: Plaintiffs counsel has filed a Writ of Prohibition within the Kanawha County Circuit Court. Hearing on that action is scheduled in Judge Blooms court on October 1, 2015. A request for an extension was mailed, certified, to Dr. Gupta at the Division of Public Health regarding Complaint 2014-16 and the extension has been accepted. Non-Registration of DOs The Board received notification from the Controlled Substance Within the CSMP Database: Monitoring Program that six (6) DOs and one (1) PA had not registered with the CSMP database which is required in W. Va. Code 601-9-5(e). Notification was given to the licensee and their employer by the Executive Director. As of this meeting, all have complied with the exception of two physicians, one of which is no longer practicing in West Virginia. The Executive Director will notify the employer of the second physician. Next meeting will be held at The Greenbrier in conjunctions with the WVOMA Fall Meeting. Date and time to be determined. Meeting was adjourned at 4:05 PM. (Muscari/Adams) Respectfully submitted,  Arthur Rubin, D. O. 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